ATI RN
ATI Comprehensive Predictor 2023 Exit Exam B Questions
Extract:
Question 1 of 5
A nurse is collecting data from a client who has a history of bipolar disorder. Which of the following findings should the nurse expect during a manic episode?
Correct Answer: C
Rationale: Rapid speech is typical in a manic episode of bipolar disorder. Hypersomnia, weight gain, and flat affect are more associated with depression.
Question 2 of 5
A nurse is caring for a client who has a new prescription for naltrexone for opioid use disorder. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: Monitoring for signs of liver dysfunction (e.g., jaundice, abdominal pain) is critical, as naltrexone, an opioid antagonist, can cause hepatotoxicity, requiring regular liver function tests.
Choice A is incorrect because naltrexone should not be started until the client is opioid-free for 7-10 days to avoid precipitating withdrawal.
Choice B is incorrect because naltrexone reduces cravings over time, not immediately.
Choice C is incorrect because naltrexone can be taken with or without food; a high-fat meal is not necessary.
Question 3 of 5
A nurse is caring for a client who is receiving heparin for deep vein thrombosis. Which of the following laboratory values should the nurse monitor?
Correct Answer: B
Rationale: Monitoring aPTT (activated partial thromboplastin time) is essential for clients receiving heparin, as it measures the therapeutic effect of heparin on the intrinsic clotting pathway, ensuring the dose is within the therapeutic range (1.5-2.5 times the baseline).
Choice A is incorrect because INR is used to monitor warfarin, not heparin.
Choice C is incorrect because, while platelet count should be monitored to detect heparin-induced thrombocytopenia, aPTT is the primary test for heparin therapy.
Choice D is incorrect because heparin does not directly affect potassium levels; electrolyte monitoring is not a priority.
Question 4 of 5
A nurse is caring for a client who has pneumonia and is receiving oxygen via nasal cannula at 2 L/min. Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: Crackles in bilateral lung bases indicate fluid accumulation or infection in the lungs, a concerning finding in pneumonia that may suggest worsening condition or complications like pulmonary edema, requiring immediate reporting.
Choice A is incorrect because an oxygen saturation of 92% is borderline but not immediately alarming in pneumonia, especially if the client is receiving oxygen; it should be monitored.
Choice B is incorrect because a respiratory rate of 24/min is slightly elevated but expected in pneumonia and not the priority to report.
Choice D is incorrect because a temperature of 37.8°C is a low-grade fever, common in pneumonia, and does not require immediate reporting unless persistent or accompanied by other symptoms.
Question 5 of 5
A nurse is admitting an adolescent who has rubella. Which of the following actions should the nurse take?
Correct Answer: B
Rationale:
Choice A is wrong because aspirin should not be given to children or adolescents with viral infections, as it can cause Reye's syndrome, a rare but potentially fatal condition that affects the liver and brain. This is because rubella is a highly contagious viral infection that can cause serious harm to the developing fetus if the pregnant person gets infected. Rubella can cause congenital rubella syndrome, which can result in hearing and vision loss, heart defects and other serious conditions in newborns.
Choice C is wrong because rubella does not require airborne precautions, which are used for diseases that can spread through very small droplets that can remain in the air for long periods of time, such as tuberculosis or measles. Rubella spreads through direct contact with saliva or mucus of an infected person, or through respiratory droplets from coughing or sneezing.
Therefore, standard and droplet precautions are sufficient to prevent transmission.
Choice D is wrong because Koplik spots are a characteristic sign of measles, not rubella. Koplik spots are small white spots that appear on the inside of the cheeks before the measles rash develops. Rubella causes a pink or red rash that usually starts on the face and moves down the body.